Michael O Young Od Pc in Fort Wayne - Optometrist
Michael O Young Od Pc - NPI 1487724258
Michael O Young Od Pc is a Optometrist in Fort Wayne, Indiana. Michael O Young Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael O Young Od Pc is 1487724258. The last update date is 2012-11-28.
Michael O Young Od Pc's current location address is 6424 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2609691400 and fax number 2609690322. The mailing address for Michael O Young Od Pc is 6424 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael O Young Od Pc |
|---|---|
| Address | 6424 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2609691400 |
| Fax Number | 2609690322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Young Owen Michael |
| Credentials | OD |
| Telephone Number | 2609691400 |
NPI Number Detail
| NPI Number | 1487724258 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2012-11-28 |
Provider Mailing Address Detail
| Address | 6424 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046204 |
| Phone Number | 2609691400 |
| Fax Number | 2609690322 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 18002134A |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18808 | SPECTERA | ||
| IN2134 | EYEMED | ||
| 100080510A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael O Young Od Pc by the Centers for Medicare & Medicaid Services?
The Michael O Young Od Pc has been assigned the NPI (National Provider Identifier) 1487724258 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael O Young Od Pc's facilities are situated?
The facilities of Michael O Young Od Pc are physically located at the following address: 6424 W Jefferson Blvd, Fort Wayne, IN, 468046204.
What is Michael O Young Od Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael O Young Od Pc's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date was the 1487724258 assigned to Michael O Young Od Pc?
The Michael O Young Od Pc was issued its 1487724258 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael O Young Od Pc most recently updated or revised?
The information pertaining to Michael O Young Od Pc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-28.